Individual
KATHY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1209 HIGHTOWER RD, MACON, GA 31206-2905
(478) 784-3535
(478) 784-3534
Mailing address
2607 GOVERNOR MACDONALD LN, MACON, GA 31216-5211
(478) 477-9372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN039867
GA
363LF0000X
Family Nurse Practitioner
Primary
RN039867
GA
Other
Enumeration date
05/19/2006
Last updated
09/11/2025
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